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General NPI Number Information
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NPI Number | 1588507461
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Entity Type | Organization
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Legal Business Name | FRESH START USA
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 44709 BEECH AVE
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City | LANCASTER
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State | CA
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Zip | 93534-3206
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Country | US
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Telephone | 888-487-5705
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Fax | 661-206-2428
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Provider Business Mailing Address
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Address Line | 44709 BEECH AVE # A
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City | LANCASTER
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State | CA
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Zip | 93534-3206
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Country | US
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Telephone | 888-487-5705
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Fax | 661-206-2428
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHENELL A ADAMS
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Credential | CPLC, MPA
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Telephone | 888-487-5705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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